Driven by personal experience with injection drug use and its surrounding stigma, our founder, Marc, recognized an urgent need for a radical shift in how we support people who use drugs. He saw a stark disconnect between South Carolina’s public health goals and its rigid substance use treatment systems. At the time, the state did not prioritize the health of individuals who injected drugs. In fact, South Carolina’s own drug and alcohol department publicly stated that advocating for syringe exchanges was not an agency priority.
This neglect was baffling given the clear data. New cases of Hepatitis C, HIV, and other infectious diseases were skyrocketing, largely tied to injection drug use. Yet, prevention and addiction programs completely ignored drug user health. Marc began personally distributing essential harm reduction supplies, including sterile syringes and condoms, directly to community members.
The impact was immediate and went far beyond preventing disease. For the first time, individuals who used drugs were met with dignity instead of judgment, discrimination, or coercion. This profound shift in care sparked the creation of South Carolina's first syringe service program; Challenges Inc SC.
Since day one, the mission of Challenges Inc. SC has never wavered: to halt the spread of preventable infectious diseases and eliminate healthcare disparities among people who use drugs. We achieve this by providing evidence-based harm reduction tools directly to people who use drugs across South Carolina. Today, we have expanded our work to meet even greater needs by offering several service delivery options around the state. We strive to be a creator of change in how people who use drugs and other marginalized community members are viewed and accepted. We are grateful for the opportunity to help foster safety in our community and in the lives of those we serve.
At Challenges Inc. SC, our mission is to reduce the damage caused by the War on Drugs so that people who use drugs can live safe, healthy lives in our community.
Our vision is a society in which individuals are not criminalized based on the substances they choose to consume.
A short history of Challenges Inc SC; past and present, with the addition of our beautiful new office for direct services.

Marc Burrows, MSW, LMSW, CPSS, ADC, is a harm reductionist and drug user health advocate, using his lived experience with substance use, the treatment industry, and the criminal justice system to inform his approach in practice. Marc's entrance into the helping profession was through advocating for people on MAT/MOUD in the abstinence laden recovery community, to reduce stigma and expand access to these medications. In 2016 Marc started handing out harm reduction supplies from the trunk of his car, in order to prevent the spread of infectious diseases among people who inject drugs, and later founded Challenges Inc SC as the first syringe service program in South Carolina.

Lysandra Ryan, CPSS, is a Harm Reduction worker who was born in South Carolina, but began her work in the field in Canada during the pandemic. There, she joined a street outreach team composed of people with lived and living experience, responding compassionately to overdoses, distributing clean supplies, supervising consumption, providing referrals, and serving as an alternative to police. In 2024, Lysandra returned to upstate South Carolina and began work as a Harm Reduction Specialist with Challenges Inc SC. Inspired by her own experiences, she is committed to reducing stigma among marginalized communities, ensuring people stay safe and alive and feel seen and heard.

Raymond Velazquez-Turner is a public health leader and harm reduction advocate committed to advancing health equity through community-centered, low-barrier approaches. He serves as Program Administrator with Challenges Inc SC, supporting the growth of accessible, participant-driven harm reduction services. He grounds his work in his lived experience as a former sex worker, a person living with HIV, someone who has experienced homelessness, and a person who uses drugs. He advocates for intersectional approaches that recognize the connection between race, sexuality, gender identity, housing, substance use, and health outcomes.
Outside of work, he enjoys spending time with his husband, their two French bulldogs, and visiting National Parks.

Tina Kasson is a Harm Reduction worker who is passionate about changing the conversation around drug use. As a Harm Reduction Specialist at Challenges Inc SC, she draws on her educational background in social work and lived experience to replace judgment with genuine human connection. Tina’s work is rooted in the belief that safety and bodily autonomy are basic human rights. Having experienced stigma from the very systems meant to offer support, she knows firsthand that the war on drugs is often fought through isolation and shame. Tina is dedicated to breaking down these barriers by embracing radical acceptance in the face of punitive measures. She is all about creating a safe environment where people can reclaim their inherent value and make informed decisions about their health.

Kris Stepp serves as the Program Manager for Challenges Inc. SC. A dedicated advocate who began as a volunteer in 2020, Kris’s work is fueled by the personal mission of preventing accidental Fentanyl overdoses—a cause close to his heart after losing his own daughter.
With multi-state experience operating Syringe Service Programs (SSP), Kris’s heart remained in South Carolina, and he eventually returned home to lead local harm reduction efforts. Now, in what he considers his "dream job," Kris combines his lived experience with professional expertise to manage community outreach and advocate for evidence-based care. He views his career not just as a profession, but as a vital service to ensure no other family has to endure an unnecessary loss.

Shae Dalrymple is a harm reduction activist and writer with extensive lived experience and a passion for human rights, especially bodily autonomy. She graduated from Ohio University with a bachelor's of science in journalism in 2012 and spent several years working as a reporter, writer, and editor at newspapers covering Ohio, West Virginia, Pennsylvania, and South Carolina. After witnessing too many of her friends die from accidental overdoses, Shae decided to pursue a career in harm reduction. In 2019 she joined Harm Reduction Ohio as Communications Director and Distribution Manager, where she helped establish a free, statewide mail order naloxone program. In 2024, she returned to SC and started working with Challenges Inc to revamp its harm reduction mail service, which has grown steadily since, providing life-saving sterile supplies, test strips, naloxone, and harm reduction resources; free of judgement and barriers. Shae is proud of her Appalachian, Rust Belt roots, but she adores South Carolina (especially the Lowcountry) and is grateful to be of service here. In her free time, she enjoys the beach, concerts, and watching her partner win at dirt track late model races.

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